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Fasting And surgery

Magdalena Jędzierowska, Robert Koprowski
BACKGROUND: Non-contact tonometers based on the method using air puff and Scheimpflug's fast camera are one of the latest devices allowing the measurement of intraocular pressure and additional biomechanical parameters of the cornea. Biomechanical features significantly affect changes in intraocular pressure values, as well as their changes, may indicate the possibility of corneal ectasia. This work presents the latest and already known biomechanical parameters available in the new offered software...
February 13, 2019: Biomedical Engineering Online
Lan Lan, Jiayang Li, Xin Xu, Yanyi Cen
<strong>BACKGROUND</strong> One-lung ventilation under general anesthesia is necessary for most thoracic surgical procedures. However, adverse effects may derive from mechanical ventilation in emphysema patients. At present, lung volume reduction surgery under spontaneous ventilation may attenuate these adverse effects. <strong>CASE REPORT</strong> We present a case of left-side secondary spontaneous pneumothorax in a 71-year-old male who had a history of chronic obstructive pulmonary disease for 12 years, combined with a contralateral giant bulla...
January 30, 2019: American Journal of Case Reports
W Schröder, C J Bruns
No abstract text is available yet for this article.
February 13, 2019: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
U Nöth, T Geiser, T Kranich, E von Rottkay, J C Reichert, M Reyle-Hahn, L Rackwitz
BACKGROUND: Fast track arthroplasty is becoming increasingly accepted in German-speaking countries. By optimizing treatment processes fast track programs promise faster recovery, increased patient satisfaction, quality improvement and reduction in the length of hospital stay. OBJECTIVES: The philosophy and treatment principles of fast track hip arthroplasty during the pre, intra and postoperative phase are described in the light of the current body of evidence. The challenges concerning fast track arthroplasty within the German health system are discussed...
February 13, 2019: Der Orthopäde
Uirá Fernandes Teixeira, Marcos Bertozzi Goldoni, Fábio Luiz Waechter, José Artur Sampaio, Florentino Fernandes Mendes, Paulo Roberto Ott Fontes
BACKGROUND: After the publication of the first recommendations of ERAS Society regarding colonic surgery, the proposal of surgical stress reduction, maintenance of physiological functions and optimized recovery was expanded to other surgical specialties, with minimal variations. AIM: To analyze the implementation of ERAS protocols for liver surgery in a tertiary center. METHODS: Fifty patients that underwent elective hepatic surgery were retrospectively evaluated, using medical records data, from June 2014 to August 2016...
February 7, 2019: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Monis J Ahmed, Rasheeqa Mahmood, Roshane S Rana, Muhammad T Pirzada, Jahanzaib Haider, Sheeraz S Siddiqui, Shams N Alam
Background Gallstone disease is a common surgical entity worldwide and accounts for a major portion of hospital admissions and surgeries. Metabolic syndrome is diagnosed when three of the following medical conditions are positive: central obesity, high blood pressure, increased fasting glucose levels, low high-density lipoprotein (HDL) levels and high serum triglycerides. Objective To compare the frequency of metabolic syndrome in patients with uncomplicated gallstone disease and complicated gallstone disease...
November 30, 2018: Curēus
Jamie A Mullally, Gerardo J Febres, Marc Bessler, Judith Korner
Bariatric surgery is a treatment option for obese patients with type 2 diabetes mellitus (T2DM). Although sleeve gastrectomy (SG) is growing in favor, some randomized trials show less weight loss and HbA1c improvement compared with Roux-en-Y gastric bypass (RYGB). The study objective was to compare changes in beta-cell function with similar weight loss after SG and RYGB in obese patients with T2DM. Subjects undergoing SG or RYGB were studied with an intravenous glucose tolerance test before surgery and at 5-12% weight loss post-surgery...
February 12, 2019: Scientific Reports
Zhu-Lin Li, Zhen-Jun Wang, Jia-Gang Han, Yong Yang
BACKGROUND: Surgery 5-10 d after stent insertion was recommended by the European Society of Gastrointestinal Endoscopy for obstructing colonic cancer. For some obstructive patients, this may be not a good choice. Here, we report the successful treatment of obstructing colonic cancer by combining self-expandable stent and neoadjuvant chemotherapy. CASE SUMMARY: The patient was a 72-year-old man who was admitted with a chief complaint of abdominal pain for more than 1 mo...
February 6, 2019: World Journal of Clinical Cases
Jeffrey West, Mark Robertson-Tessi, Kimberly Luddy, Derek S Park, Drew F K Williamson, Cathal Harmon, Hung T Khong, Joel Brown, Alexander R A Anderson
PURPOSE: In an upcoming clinical trial at the Moffitt Cancer Center for women with stage 2/3 estrogen receptor-positive breast cancer, treatment with an aromatase inhibitor and a PD-L1 checkpoint inhibitor combination will be investigated to lower a preoperative endocrine prognostic index (PEPI) that correlates with relapse-free survival. PEPI is fundamentally a static index, measured at the end of neoadjuvant therapy before surgery. We have developed a mathematical model of the essential components of the PEPI score to identify successful combination therapy regimens that minimize tumor burden and metastatic potential, on the basis of time-dependent trade-offs in the system...
February 2019: JCO Clinical Cancer Informatics
W H Feng, T T Yin, X H Chu, X D Shan, C Jiang, Y Wang, Y F Qian, Dalong Zhu, X T Sun, Yan Bi
AIM: To assess metabolic effects and safety of Roux-en-Y gastric bypass (RYGB) versus conventional medication (CM) in obese Chinese patients with type 2 diabetes (T2DM). METHODS: This retrospective cohort study included 40 patients who underwent RYGB (mean age 44.1 years, body mass index (BMI) 33.3 kg/m2 ) and 36 patients administered CM (mean age 49.4 years, BMI 32.1 kg/m2 ). The primary endpoint was achievement of the triple endpoint (hemoglobin A1C (HbA1c) <7...
February 10, 2019: Diabetes/metabolism Research and Reviews
Susanna Summa, Francesco De Peppo, Maurizio Petrarca, Romina Caccamo, Riccardo Carbonetti, Enrico Castelli, Domenico Ottavio Adorisio
BACKGROUND: It has been highlighted that obesity influences the gait reducing walking velocity, stride length, ankle dorsal flexion at initial contact and ankle power generation. Meanwhile, step width, double support, hip flexion, knee extension during stance, hip moment and ankle power absorption was described increased. A tendency to the normalization of these parameters occur when subjects reduced their weight during growth. OBJECTIVE: We studied the effect of fast weight loss due to Sleeve Gastrectomy on gait pattern of adolescent with severe obesity...
January 24, 2019: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Michael Conrad Grant, Melinda M Gibbons, Clifford Y Ko, Elizabeth C Wick, Maxime Cannesson, Michael J Scott, Christopher L Wu
Enhanced recovery after surgery (ERAS) protocols for gynecologic (GYN) surgery are increasingly being reported and may be associated with superior outcomes, reduced length of hospital stay, and cost savings. The Agency for Healthcare Research and Quality, in partnership with the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, has developed the Safety Program for Improving Surgical Care and Recovery, which is a nationwide initiative to disseminate best practices in perioperative care to more than 750 hospitals across five major surgical service lines in a 5-year period...
February 7, 2019: Regional Anesthesia and Pain Medicine
Obada Hasan, Shahryar Noordin, Riaz Lakdawala, Vickash Kumar, Faisal Mahmood
Tuberculosis continues to be one of the most challenging health problems more prevalent in developing countries. Pakistan ranks 5th in tuberculosis prevalence among the high-burden countries. Prosthetic joint infection of the knee by acid fast bacilli is a rare and distressing complication, occurring in nearly 1% of primary joint arthroplasties requiring prolonged medical treatment and multiple surgeries. A recent publication extensively reviewed English literature from 1952 to 2016, and repor ted only 64 prosthetic joint infec tion with tuberculosis, of which 27 cases involved the knee...
February 2019: JPMA. the Journal of the Pakistan Medical Association
Hao Yu, Zhigao Song, Hongbin Zhang, Kehong Zheng, Junfang Zhan, Qing Luo, Jingbo Sun, Li Liang, Xiaojiang Dai, Liangping Wu
BACKGROUND: Current studies indicate that inflammation of white adipose tissue (WAT) is a pathogenic characteristic of insulin resistance. However, the significance of visceral WAT inflammation after bariatric surgery remains unclear. METHODS: Duodenojejunal bypass plus sleeve gastrectomy (DJB-SG) was performed on Goto-Kakisaki rats. Weight, fasting blood glucose (FBG), and homeostatic model assessment of insulin resistance (HOMA-IR) in the DJB-SG group were compared to those in a sham surgery (SHAM) group every 2 weeks...
February 8, 2019: Obesity Surgery
Zeynep Duru
PURPOSE: Islamic Ramadan is the month of fasting, in which intake of food and drink is restricted from sunrise until sunset. The objective of the present study was to find out the effects of religious fasting on posterior ocular structures. MATERIALS AND METHODS: In this prospective study, 34 eyes of 34 healthy volunteers with a mean age of 34.09 ± 7.20 years were enrolled. Volunteers with any systemic disorder and eyes with pathology or previous surgery were excluded...
February 6, 2019: Cutaneous and Ocular Toxicology
Cuiling Zhu, Fangyun Mei, Jingyang Gao, Donglei Zhou, Liesheng Lu, Shen Qu
Bariatric surgery is an effective method for severe obesity and its related comorbidities. This study was performed to explore the alterations of sex hormones and inflammatory markers following laparoscopic sleeve gastrectomy (LSG) among obese Chinese men with acanthosis nigricans (AN). Sixty-five obese men who underwent LSG were enrolled, comprising simple obesity without AN (OB group, n = 20) and obesity with AN (AN group, n = 45). There were 31 healthy male controls with normal body mass index (BMI) included...
February 6, 2019: Journal of Dermatology
B Berenguer, C Lorca-García, A Lancharro, E DeTomás
BACKGROUND: The buccal fat pad (BFP) has prompted numerous publications in anatomy, reconstructive and aesthetic surgery over the years; however, description of surgical treatment of pathologic conditions affecting this space is rare, especially in children. An extensive search of the English literature retrieved only five lipomas and one hemangioma in this age group. METHODS: The authors report on two of these exceptional pediatric tumors of the BFP: one lipoma and one hemangioma referred to the outpatient clinic for diagnosis and treatment...
February 5, 2019: Acta Chirurgica Belgica
Carolina López-Cano, Ferran Rius, Enric Sánchez, Anna Michela Gaeta, Àngels Betriu, Elvira Fernández, Andree Yeramian, Marta Hernández, Marta Bueno, Liliana Gutiérrez-Carrasquilla, Mireia Dalmases, Albert Lecube
Subjects with sleep apnea-hypopnea syndrome (SAHS) show an increased carotid intima-media thickness. However, no data exist about earlier markers of atheromatous disease, such as the proliferation and expansion of the adventitial vasa vasorum (VV) to the avascular intima in this setting. Our aim was to assess carotid VV density and its relationship with sleep parameters in a cohort of obese patients without prior vascular events. A total of 55 subjects evaluated for bariatric surgery were prospectively recruited...
2019: PloS One
WenJie Mak, Kelvin Xu, Sophie W Y Lim, H I Hee
Our patient is a 5-year-old boy with West syndrome, complicated by neurodevelopmental delays, scheduled for elective gastrostomy. He was started on MAD 6 months prior to surgery. His oral anti-epileptics were converted to intravenous equivalents during fasting. Non-dextrose containing solution was used as maintenance fluid. Blood glucose was monitored 4-hourly when fasting commenced 6h before surgery. His serial blood glucose is summarized in Table 1. This article is protected by copyright. All rights reserved...
February 5, 2019: Paediatric Anaesthesia
Yangyang Li, Hong Zhang, Yinfang Tu, Chen Wang, Jianzhong Di, Haoyong Yu, Pin Zhang, Yuqian Bao, Weiping Jia, Jianjun Yang, Cheng Hu
OBJECTIVES: Bariatric surgery is emerging as the most effective treatment option for patients with obesity. Hypothalamic arcuate nucleus plays an important role in metabolic homeostasis. However, the influence of mutations related to the feeding center on weight loss after bariatric surgery is still unclear. We aimed to diagnose monogenic obesity by whole exome sequencing (WES) and explore whether monogenic mutations influence the effectiveness of bariatric surgery. METHODS: We collected obese patients aged 15 to 55 with a BMI > 28 kg/m2 and who underwent laparoscopic sleeve gastrectomy from March 2011 to June 2017 in Shanghai...
February 5, 2019: Obesity Surgery
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